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Title

Fatal infantile cardioencephalomyopathy with COX deficiency and mutations in SCO2, a COX assembly gene.

Authors

Papadopoulou, Lefkothea C.; Sue, Carolyn M.; Davidson, Mercy M.; Tanji, Kurenai; Nishino, Ichizo; Sadlock, James E.; Krishna, Sindu; Walker, Winsome; Selby, Jeanette; Glerum, D. Moira; Coster, Rudy Van; Lyon, Gilles; Scalais, Emmanuel; Lebel, Roger; Kaplan, Paige; Shanske, Sara; De Vivo, Darryl C.; Bonilla, Eduardo; Hirano, Michio

Abstract

Mammalian cytochrome c oxidase (COX) catalyses the transfer of reducing equivalents from cytochrome c to molecular oxygen and pumps protons across the inner mitochondrial membrane. Mitochondrial DNA (mtDNA) encodes three COX subunits (I?III) and nuclear DNA (nDNA) encodes ten. In addition, ancillary proteins are required for the correct assembly and function of COX (refs 2, 3, 4, 5, 6). Although pathogenic mutations in mtDNA-encoded COX subunits have been described, no mutations in the nDNA-encoded subunits have been uncovered in any mendelian-inherited COX deficiency disorder. In yeast, two related COX assembly genes, SCO1 and SCO2 (for synthesis of cytochrome c oxidase), enable subunits I and II to be incorporated into the holoprotein. Here we have identified mutations in the human homologue, SCO2, in three unrelated infants with a newly recognized fatal cardioencephalomyopathy and COX deficiency. Immunohistochemical studies implied that the enzymatic deficiency, which was most severe in cardiac and skeletal muscle, was due to the loss of mtDNA-encoded COX subunits. The clinical phenotype caused by mutations in human SCO2 differs from that caused by mutations in SURF1, the only other known COX assembly gene associated with a human disease, Leigh syndrome.

Subjects

GENETIC mutation; GENES; CYTOCHROME oxidase

Publication

Nature Genetics, 1999, Vol 23, Issue 3, p333

ISSN

1061-4036

Publication type

Academic Journal

DOI

10.1038/15513

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